Individual
MARIELLE BENAYUN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
174 LITTLETON RD, WESTFORD, MA 01886-3191
(978) 692-2111
Mailing address
100 MORRISSEY BLVD, BOSTON, MA 02125-3300
(617) 287-5660
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN2299581
MA
Other
Enumeration date
10/04/2016
Last updated
11/29/2016
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